Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.76 / $518.10 / $1,629.04	Facility		$131.76	$518.10	$1,629.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.76 / $131.76 / $158.10	Professional		$131.76	$131.76	$158.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.25 / $285.66 / $343.91	Facility		$279.25	$285.66	$343.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.51 / $113.51 / $130.66	Professional		$113.51	$113.51	$130.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.04 / $177.04 / $177.04	Facility		$177.04	$177.04	$177.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.04 / $177.04 / $189.69	Professional		$177.04	$177.04	$189.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.76 / $159.69 / $208.66	Facility		$131.76	$159.69	$208.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.04 / $128.04 / $128.04	Professional		$128.04	$128.04	$128.04
United Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $150.29 / $195.02	Professional		$134.19	$150.29	$195.02
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $178.49 / $194.61 / $975.00	Facility		$178.49	$194.61	$975.00